DR. JACOB RUSSELL, PT, DPT

Physical Therapist

Active Individual
NPI: 1356228142

Practice Address

1104 W MAIN ST
Benton, IL 62812

Phone: (618) 439-3399

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 070029347 (IL)

Frequently Asked Questions

NPI 1356228142 is the National Provider Identifier for DR. JACOB RUSSELL, PT, DPT, a Physical Therapist provider located in Benton, IL. This NPI was enumerated on August 21, 2025.
DR. JACOB RUSSELL, PT, DPT practices at 1104 W MAIN ST, Benton, IL 62812.

Quick Facts

NPI
1356228142
Type
Individual
Enumerated
Aug 21, 2025
Last Updated
Aug 28, 2025

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